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Description

A Clinical Support Associate – Enhanced Care Management (CSA-ECM) is part of the Enhanced Care Management Unit within the Medical Management department. The CSA-ECM reports to the ECM Program Manager and is responsible for providing coordination support to the clinical teams, assisting with daily operational functions, facilitating efficient work processes, and performing clerical tasks for the ECM unit. Strong written and verbal communication skills are essential for this role. The CSA-ECM ensures accurate and timely data entry and collection and interacts with other Health staff, providers, and members. Additionally, the CSA-ECM is responsible for processing authorization and referral requests.

• Respond promptly to inbound calls in the Health Services’ phone queues.

• Make outbound calls to providers, members, and Health staff regarding operational processes.

• Communicate any conflicts or issues with members or providers to the immediate supervisor in a timely manner.

• Maintain confidentiality and protect member information in compliance with HIPAA and confidentiality laws and regulations.

• Adhere to Health’s mission, protocols, policies, and procedures, ensuring performance standards are met.

• Attend company-wide and department meetings and trainings on time, actively participating when appropriate.

• Respond to emails, phone calls, and other communications in a professional, courteous, and timely manner.

• Maintain professional interactions with Health employees, members, and providers.

• Support the daily operational functions of the ECM/CS program, ensuring timely work processes and performing necessary clerical tasks.

• Collaborate closely with Case Management (CM), ECM/CS teams, and internal departments regarding ECM/CS activities.

• Manage the call queue, providing support to members, ECM/CS providers, and internal departments concerning ECM/CS referrals and provider reassignment.

• Oversee the ECM/CS referral intake process and ECM provider assignments.

• Conduct follow-up calls with members and providers to ensure timely access to ECM/CS services.

• Organize, schedule, track, and monitor member contacts efficiently.

• Assist with mailings related to ECM/CS, including member assignment and authorization approval notifications.

• Accurately enter authorization requests and submitted documents into the system.

• Act as a liaison between clinical reviewers, providers, and members.

• Ensure accurate entry of billing and diagnosis codes, service categories, amounts, frequency, and other service details.

• Process authorization requests in accordance with established timelines.

• Prepare, edit, and finalize written determination notices for providers and members.

• Assist with mailing ECM/CS Notices of Action (NOAs) as requested.

• Support the ECM/CS Program Manager with data tracking and other requests.

• Perform other duties as assigned.

Additional Skills & Qualifications

• Ability to work independently with minimal supervision while actively participating as a member of an interdisciplinary team.

• Openness to receiving constructive feedback and using it as an opportunity for personal and professional growth.

• Strong organizational and multitasking abilities.

• Basic understanding of medical terminology, billing (CPT), and diagnosis (ICD-10) coding.

• Commitment to maintaining confidentiality and adhering to HIPAA regulations.

• High attention to detail, ensuring accurate and clear recordkeeping.

• Ability to complete tasks within established regulatory timelines.

• Typing speed of at least 35 words per minute.

• Effective collaboration with individuals from diverse backgrounds and educational levels.

• Ability to prepare grammatically correct, clear, and concise written communication.

Preferred:

• Basic knowledge of Medi-Cal and the services it covers.

• Familiarity with health-related community-based organizations, healthcare delivery systems, and resources for low-income and elderly populations.

• Bilingual in Spanish (preferred, but not required for Utilization Management roles).

Job Type & Location

This is a Contract position based out of Santa Barbara, CA.

Pay and Benefits

The pay range for this position is $23.00 - $24.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Santa Barbara,CA.

Application Deadline

This position is anticipated to close on Nov 27, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.